ASSESSMENT EXAM 2025/2026 V1, V2, V3 &V4 EACH VERSION
CONTAINS COMPLETE ACCURATE QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES (A NEW UPDATED
VERSION) AND A NEW UPDATED STUDY GUIDE |GUARANTEED
PASS + (BRAND NEW!) FULL REVISED HESI HEALTH ASSESSMENT
BSN 246 ACTUAL EXAM
which is the appropriate method for a nurse to use when
auscultating a patient's abdomen?
Use the bell of the stethoscope for auscultation.
Use the diaphragm of the stethoscope for auscultation
Hold the diaphragm lightly to the skin of the abdomen
Use the interface of the diaphragm and the bell for auscultation
Answer- B.
Rationale: Auscultation of the abdomen is useful in detecting
high-pitched bowel sounds. The diaphragm of the stethoscope is
sensitive in picking up high-pitched sounds of the abdomen. The
bell of the stethoscope is sensitive in detecting low-pitched
sounds like heart murmurs The interface of the bell and
diaphragm is less useful for clinical assessment. B/c the bowel
sounds are high-pitched; the diaphragm should be held firmly on
the skin during auscultation.
,In the mnemonic "DELIRIUM", the M represents which cause
of delirium?
Medication
Malnutrition
Memory Loss
Metabolic disorders
Answer- D.
Rationale: the letter "M" represents metabolic disorders in the
mnemonic of causes for delirium. The "R" for RX represents
medication. The "D" for dementia and dehydration represents
memory loss. Malnutrition is not part of this mnemonic
What is the mnemonic "DELIRIUM"?
causes of Delirium
D-dementia, dehydration
E-electrolyte imbalances, emotional stress
L-lung, liver, heart, kidney, brain
,I-infection, ICU
R- Rx drugs
I- injury, immobility
U-untreated pain, unfamiliar environment
M-metabolic disorders
For a patient with a head injury, for which complication r/t
cerebral hemorrhage and edema would the nurse monitor
potential development?
Anxiety
Hyperthermia
Impaired physical mobility
Increased intracranial pressure
Answer- D.
Rationale: increased intracranial pressure can occur as a
potential complication r/t cerebral hemorrhage and edam.
Anxiety can result from an abrupt change in health status, being
in a hospital environment, and having an uncertain future.
Hyperthermia can occur duty to increased metabolism, infection
and hypothalamic injury. Impaired physical mobility is r/t a
decreased level of consciousness
, Which cognitive changes are characteristic of a pt. experiencing
hypoxia? (SATA).
Restlessness
Apprehension
Improved mood
Memory changes
Pursed lip breathing
Improved concentration
Answer- A. B. D.
Rationale: A pt., who is hypoxic may have neurologic symptoms
that include apprehension, restlessness, irritability, and memory
changes. Mood will worsen rather than improve. Pursed lip
breathing is not a COGNITIVE symptom. Concentration will be
poor w/ hypoxia rather than improved.
Which term is used to describe a group of adult Jewish family
members who want to participate in a religious ceremony at the
bedside of a dying patient?